Individual
JENISE CHARLENE PARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC. M.T.O.M.
Contact information
Practice address
110 W 96TH ST, SUITE 14 B, NEW YORK, NY 10025-6413
(646) 320-8806
Mailing address
110 W 96TH ST, SUITE 14 B, NEW YORK, NY 10025-6413
(646) 320-8806
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
002647
NY
Other
Enumeration date
03/04/2012
Last updated
03/04/2012
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